New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit.

New Patient Registration

Please download, print and complete this form before your first dental appointment.
Click here to download (1.1 MB)

Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Click here to download (904 KB)

Notice of Privacy Practices Acknowledgement

Please download, print and complete this form before your first dental appointment. This form confirms that you read our Notice of Privacy Practices.
Click here to download (171 KB)

Consent for Use and Disclosure of Health Information

Please download, print and complete this form before your first dental appointment.
Click here to download (321 KB)

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

Special Promotion

Mention our "Website Promotion" and receive $50 off toward teeth whitening.

Office Hours

Monday7:50am-5:30pm
Tuesday 7:50am-5:30pm
Wednesday7:50am-5:30pm
Thursday7:50am-5:30pm
Friday 7:50am-5:30pm

Request Appointment

  • Monday
    Tuesday
    Wednesday
    Thursday
    Friday

  • Morning
    Afternoon
    Early Evening